Medica
Product Manager III - Medicare Advantage
- St. Louis, Missouri
- Hybrid
- full time
- $79k–$118k/year
- Posted today
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About the role
Medica is a nonprofit health plan with more than a million members that serves
communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver
personalized health care experiences and partner closely with providers to
ensure members are genuinely cared for.  Â
We're a team that owns our work with accountability, makes data-driven
decisions, embraces continuous learning, and celebrates collaboration — because
success is a team sport. It's our mission to be there in the moments that matter
most for our members and employees. Join us in creating a community of connected
care, where coordinated, quality service is the norm and every member feels
valued. Â
Responsible for assisting with the development, implementation and management of
the portfolio of Medicare Advantage products. The role helps maintain accurate
member materials, product information across pricing, CMS bid submission, and
system configuration; supports year-round operational readiness as a resource on
product intent; and conducts competitor analysis and monitors regulatory
developments. Performs other duties as assigned.Â
Key AccountabilitiesÂ
* Leads the Product team review process for required and non-required materials
to ensure benefit information is clear, accurate, and delivered on schedule.
Coordinates with Government Document Production and Marketing on all material
reviews
* Maintains accurate Medicare Advantage product information in source of truth
documents and supports consistent interpretation and implementation of plan
benefits and deep understanding of product intent
* Assists with the completion of plan benefit package (PBP) software responses
for annual CMS bid submission through its Health Plan Management System
(HPMS) and understands the PBP category definitions
* Supports year-round operational readiness and serves as liaison and subject
matter expert for key operational functions; assists vendor implementation
and ongoing management activities; represents Medicare Advantage Product on
cross-functional workgroups
* Conducts competitor analysis, collects competitor materials and assembles
competitive reports and analyses that informs Medicare Advantage product
strategy and annual benefit decisions.
Required QualificationsÂ
* Bachelor's degree or equivalent experience in related field.
* 5+ years of work experience beyond degree.
* 2+ years of experience working with Medicare Advantage plans.
* Excellent materials review skills and high-level attention to detail.
Preferred QualificationsÂ
* Experience working with CMS bid cycle and CMS Health Plan Management System
(HPMS) software.
* Operational experience in a health plan.
* Experience conducting competitive analysis.
* Experience in the analysis, summary, and presentation of business reports to
organizational leaders and regulatory officials.
* Excellent organizational skills with proven ability to manage projects from
kick-off to implementation.
* Excellent interpersonal communication skills with proven ability to establish
and maintain strong relationships at multiple levels of organization.
* Ability to quickly adapt to change and work independently.
This position is an Office role, which requires an employee to work onsite, on
average, 3 days per week. We are open to candidates located near one of the
following office locations: Minnetonka, MN, Madison, WI, St. Louis, MO, or
Omaha, NE.Â
The full salary grade for this position is $78,700 - $134,900. While the full
salary grade is provided, the typical hiring salary range for this role is
expected to be between $78,700 - $118,020. Annual salary range placement will
depend on a variety of factors including, but not limited to, education, work
experience, applicable certifications and/or licensure, the position's scope and
responsibility, internal pay equity and external market salary data.  In
addition to compensation, Medica offers a generous total rewards package that
includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time
off, 401K contributions, caregiver services and many other benefits to support
our employees. Â
The compensation and benefits information is provided as of the date of this
posting. Medica’s compensation and benefits are subject to change at any time,
with or without notice, subject to applicable law. Â
Eligibility to work in the US:Â Medica does not offer work visa sponsorship for
this role. All candidates must be legally authorized to work in the United
States at the time of application. Employment is contingent on verification of
identity and eligibility to work in the United States.Â
We are an Equal Opportunity employer, where all qualified candidates receive
consideration for employment indiscriminate of race, religion, ethnicity,
national origin, citizenship, gender, gender identity, sexual orientation, age,
veteran status, disability, genetic information, or any other protected
characteristic.Â
Skills
- Medicare Advantage
- Product Management
- CMS Bid Submission
- Health Plan Management System
- Competitive Analysis
- Regulatory Compliance
- Project Management
- Data-driven Decision Making
- Cross-functional Collaboration
- Benefit Plan Design
- Operational Readiness
- Material Review
- Interpersonal Communication
- Strategic Planning
- Business Reporting
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